Comfort Care: Difference between revisions

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Created page with "==Coming to a laptop near you soon: TMP STUDY for primary admit DX of: comfort/end of life care== {{Discussion}} needs a project & item name in Tmp. Also need a tmp study arti..."
 
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==Coming to a laptop near you soon: TMP STUDY for primary admit DX of: comfort/end of life care==
{{Project
{{Discussion}}
|ProjectActive=legacy
needs a project & item name in Tmp. Also need a tmp study article.  
|ProjectProgram=CC and Med
*This section will be move to another article. Tina? thanks.
|ProjectRequestor=Internal
**Collectors any suggestion for Project name in TMP that would be intuitive to all?
|ProjectCollectionStartDate=2013-11-11
|ProjectCollectionStopDate=2019-08-26
|Project={{PAGENAME}}
}}
{{LegacyContent
|explanation=This concept is now essentially a twin of [[Palliative care]], so collection no longer needed.  
|successor=[[Palliative care]]
|content=


This article is about collecting the "Comfort care" ([[ACP C]], [[Palliative care]]) temp entry. Collection has stopped, see [[Palliative care]] for a related thing we collect.


== Data Use and Purpose ==
=== Which patients qualify ===
The purpose is to specifically identify and tag '''only''' those ICU and Medicine patients for whom the '''initial goal''' of care right from the start of a unit admission is comfort care, [[ACP C]], palliation.


Pts for whom comfort care is ordered '''after admission do ''not'' qualify.'''


*new temp study article.  Can change it from this one if better idea comes forward.[[User:TOstryzniuk|Trish Ostryzniuk]] 19:55, 2013 October 23 (CDT)
Pt '''does not require''' but could be receiving [[Palliative Service]]'''.
*In TMP: Collectors to enter “Admit for: comfort/end of life care” if and only if:
**The initial ward admission note written by the ward resident or attending physician documents explicitly that the patient’s primary reason for admission to that ward is for the purpose of providing, comfort care or end-of-life or clearly similar concepts.
**Do not enter this into TMP if the decision is made by the physician later on during the ward admission.
*The purpose of adding this to TMP is allow '''medicine program''' to identify those patients whom the primary plan upon ward admission is comfort/end of life care only


Pt ''could'' be receiving some medical treatments like treating an pneumonia or infection, pain, dehydration and anything else that would ease suffering.


Thank you [[Tina Tenbergen | Tina ]] & [[Dr. Allan Garland | Allan]] and [[:Category:Critical Care Review Group | Critical Care Review Group]] & staff all feedback for this one. [[User:TOstryzniuk|Trish Ostryzniuk]] 19:36, 2013 October 23 (CDT)
Select Comfort Care only if '''any''' of the following are true: 
*(a) the patient had an ACP-C ''prior to'' admission to that unit/ward
*(b) the patient had an ACP-C order implemented as ''part of'' the admission orders to that unit/ward
*(c) the ''initial admission note'' of the unit/ward attending physician and/or the H&P written by the house officer identifies that the patient was admitted for any of: 
**(i) comfort care,
**(ii) palliation
**(iii) palliative care
**(iv) or end-of-life care 
***Note that none of items (ii)-(iv) require that the patient was ACP-C or that the Palliative Care Service be involved in care.
 
=== Coding Instructions ===
If the patient meets the above criteria then code as:
*In [[CCMDB.accdb]] '''TMP''' tab add:
**PROJECT: Comfort Care
**ITEM: Comfort Care
**Checkbox, dates, numbers: Don't need to fill, not used for this project
 
{{Data Integrity Check List|}}
 
== Data use / Reporting and Analysis ==
The data is used to exclude patients in the analysis of the [[ALERT Scale]] in the [[Directors Quarterly and Annual Report (Medicine)]].
 
== Related articles ==
{{Related Articles}}
 
[[Category:End-of-life related data]]
}}

Latest revision as of 20:06, 2022 February 17

Projects
Active?: legacy
Program: CC and Med
Requestor: Internal
Collection start: 2013-11-11
Collection end: 2019-08-26

Legacy Content

This page contains Legacy Content.

Click Expand to show legacy content.

This article is about collecting the "Comfort care" (ACP C, Palliative care) temp entry. Collection has stopped, see Palliative care for a related thing we collect.

Data Use and Purpose

Which patients qualify

The purpose is to specifically identify and tag only those ICU and Medicine patients for whom the initial goal of care right from the start of a unit admission is comfort care, ACP C, palliation.

Pts for whom comfort care is ordered after admission do not qualify.

Pt does not require but could be receiving Palliative Service.

Pt could be receiving some medical treatments like treating an pneumonia or infection, pain, dehydration and anything else that would ease suffering.

Select Comfort Care only if any of the following are true:

  • (a) the patient had an ACP-C prior to admission to that unit/ward
  • (b) the patient had an ACP-C order implemented as part of the admission orders to that unit/ward
  • (c) the initial admission note of the unit/ward attending physician and/or the H&P written by the house officer identifies that the patient was admitted for any of:
    • (i) comfort care,
    • (ii) palliation
    • (iii) palliative care
    • (iv) or end-of-life care
      • Note that none of items (ii)-(iv) require that the patient was ACP-C or that the Palliative Care Service be involved in care.

Coding Instructions

If the patient meets the above criteria then code as:

  • In CCMDB.accdb TMP tab add:
    • PROJECT: Comfort Care
    • ITEM: Comfort Care
    • Checkbox, dates, numbers: Don't need to fill, not used for this project

Data Integrity Checks (automatic list)

 AppStatus
Query s tmp comfort care gt oneCCMDB.accdbretired

Data use / Reporting and Analysis

The data is used to exclude patients in the analysis of the ALERT Scale in the Directors Quarterly and Annual Report (Medicine).

Related articles

Related articles:
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